Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $407.38	Facility		$263.03	$302.00	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $288.40	Professional		$251.19	$251.19	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Facility		$181.97	$181.97	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $245.47	Professional		$30.20	$30.20	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Facility		$251.19	$251.19	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $323.59	Professional		$218.78	$251.19	$323.59